Secure Order Secure Order Form (*Indicates required field) 1. Contact details: Name:* Tel for COURIER: Mobile: E-mail:* 2. Select products: One Can GLH $14.95 + $10 P&HOne Can GLH + One Hairspray $34.95 DELIVERED Hairspray specially formulated for GLH *Less Required* Lasts Longer*Goes Further (than normal hairsprays) Deepens color and enhances GLH appearance. GLH 175g at $14.95 each x QTY cans + $10 P&H = 5 Cans of GLH Delivered including 1 covering Hairspray $84.006 Cans of GLH Delivered Bulk Price of just $89.00 USA Orders Dispatched by UPS or Equivalent Allow 2-5 days delivery to all USA Mainland States Australian Orders dispatched by Fastaway or equivalent All prices are in US$ Please Note:Some countries may incur extra P&H charges. Fill in your shipping details below and we will advise if any extra charges apply. If so your credit card will not be debited until you confirm your order subsequently. Hair Colour:* SelectBlackDark BrownMedium BrownLight BrownAuburnBlondeSilverGreyRedOther Other: 3. Payment Option: Credit Card:* VISAMasterCardBankCardAmerican ExpressDiner's Club Cardholder Name:* Card Number:* Expiration Date:* 4. Shipping Details: Street Address:* Address (cont.): City:* State:* ZIP or Postal Code:* Country:*